₦airaland Forum

armadeo:
You have to be kidding me

duni04:
Very good. Attack the messenger and ignore the message, typical of you people

armadeo:
Pray what was the message. Vote GEJ? For hospitals that can treat dog bite?

Who are you people?

drjay1:
This is not true. It shows how "uneducated" some of our educated Nigerians are. There is no way a wound caused by a dog bite will not have infection even if it is being treated in the best hospitals in d world! Its called a dirty wound with an infectivity rate of greater than 45%. Such wound requires patience on the part of both the doctors and the patient's relatives to heal. I know that our health institutions are far from where we ought to be but we have the best of doctors and nurses in Nigeria. I dont work in LASUTH but i KNOW that the hospital has one of the best doctors and nurses in Africa. Now the INDIANs are smart! They are into medical tourism. They will do anything to "toast" Nigerians to travel to INDIA for treatment. They know that Nigerians dont believe in their health care system and will do anything to get "foreign" treatment so they will say anything to discredit our hospitals. I have seen many Nigerians run back home with several complications from treatments in india.

bushdoc9919:
That's largely because we do not have the needed equipment to do much....and in some instances....the patient is too poor to afford the stuff.

I have just come off call duty at the private hospital where I work. overnight...we had an elderly woman with a bleed in the brain due to stroke. Ideally...she would have been in a teaching hospital within minutes of the stroke...and a neurosurgeon would have operated in hours. But....she went to a small ill equiped private clinc....and by the time she got to our hospital.....it was 16 hours....vital time wasted. (And sadly....she had to leave because of funds.....).

Then there are the limited number of specialsts in Nigeria. We have just 4000 specialists for a population of 150million. (uk has two specialist family physicians for every 1000 people...and they say they do not have enough!).

Then there is the limited diagnostic equipment. Many patients die of hemorrhagic stroke in Nigeria not only because we have limited number of neurosurgeons....but because we don't have access to CT scans at our hospitals....so we cannot take quick medical decisions that would save lives.

I know some docs have bad attitudes.....but we are working under very bad conditions. During youth service....I had to treat a severely anaemic malarial child....in a rural hospital with limited facilities....and with the nearest teaching hospital 4 hours away....in the dead of night with no light. Would you blame me and the nurses there if the child did not make it?

Nigeria needs an increase in funding for health care....especially for training more medical people...and for primary and secondary health care (part of the reason why our teaching hospitals are so overwhelmed is that they see cases that should be seen at the PHC!)

Gejfreesupport:
You mean the irresponsible Go and Die governor?

duni04:
Oh Lasuth is now an FG owned hospital?

Jenams:
God will purnish oshiomole! This people are from edo state, yet gov of delta came to their rescue, while oshio n ameachi r busy wit campaign for buhari

Lilknight:
German shepherd of all dogs, imagine...i was even thinkn its a rottweiler or pitbull/ bull mastiv. German shepherd are d least wide dogs among d foreign breed, cnt believe no1 out of d crowd has d effontery to scare those lazy(as they are termed naturally) dogs away. Gsd are not to be feared, they are kind of powerless their main job is nt for security rather for alertness. My gsd at home can scare d hell outta u by barking, and one code abt dog is dat they know how to sense fear in human, 1nce they sense it that u are scared of them their confidence get a booster. If to say i dey related with d family of dat boy ni, i go roast those mumu gsd/alsatian dog take them do suya while still alive. That's kind of a Trauma!!!

0rex:
What do we even have that works right in this country?

rozayx5:

LASUTH, that one na hospital
this is the first real hospital in Nigeria, nearing completion in Uyo , and its getting commissioned soon, staffed with both indian and Nigerian doctors, cases like this wont need to be taken abroad again

rozayx5:
make we hear word

IbkD:
A good or modern building does not equate quality service.

Onegai:
You have precisely 3 Neurosurgeons in Nigeria. In GH Lagos Island, doctors can't do PCR test (so when Ebola came, all Lagos doctors were scared, those that trained in Uniben even more so, because no-one had taught them how to do the test, even though Edo state has the most experience with Haemoraghic fevers).

Nurses from School of Nursing nowadays are taught a lot of Theory and little practicals. And most are not very good.

The machines at LUTH are so outdated, CT scan machine either caught on fire (last year) or they will take light. Same with Endoscopy at GH Lagos Island, no-one knows how to use the machine.

It isn't just equipment that is your problem in the Nigerian medical field. Most of you are badly trained (I have had doctors prescribe Cimetidine at a child's dosage, when I was in my 20s, I've had doctors declare I had Cerebral Malaria, when it is more common in children and young adults, I have had doctors treat me for all sorts, doubling anti-biotics without being able to write a clear referral, suspecting I had PID without a single test to rule it out etc). I have seen a doctor take out a clean appendix because the patient was constipated, I have seen doctors not accurately know that a patient with the right symptoms and age was having mini-strokes, they kept prescribing painkiller upon painkiller. I saw doctors who didn't know how to do examinations on the pelvis of a patient who had been treated a year ago for fibroids and was having pelvic pain be prescribed so much Diclofenac Sodium she OD'ed and they didn't know how to do charcoal activation to clear her bloodstream and could merely put her on drip, I have seen a patient die of a thyroid sugery that is a one-day affair in US on a Nigerian hospital, last week someone broke his arm and was taken to Igbobi, this week he died of an infection. I have seen asthma treated as malaria and they doctors treating the patient didn't know how to use the nebuliser the patient's parents brought. The patient's parents then had to donate 5 second-hand ones to the hospital, so that mistake never happened to another child.

You guys have to be trained properly. I'm speaking because I personally, off the top of my head, can count 2 Consultant Pediatricians, One Dermatologist, 1 consultant Gynaecologist, One Surgeon, 1 Neurosurgeon, I can't remember the last 2 what they studied and all of them either taught at LUTH or worked at UCH, Uniben, GH or another major teaching hospital.

None of them think half the doctors in Nigeria should be practicing, half of them think most of the teaching hospitals should lose their license to train certain fields of study (like Surgery in Medilag). All of them wonder why their colleagues don't further their education. Most of them don't trust their valuable patients to nurses (when one had a patient who needed to be monitored overnight for internal bleeding and his wound drained, he told doctors to do it and forbade nurses close to the patient).

I am sorry, but I really feel that firstly no doctors should be allowed to graduate, and massive enforced training for all doctors should be done for 5 years, overhaul all the medical schools, with upgraded equipment. Yearly testing of doctors should commence for another 5 years. We need a govt that should assume we have no doctors in Nigeria and place the country under a National Medical Emergency so we take drastic measures.

It is so bad that none of my family members will be allowed even in the smallest surgery in Nigeria, not even childbirth is an option in the nicest private hospital in Nigeria. I have doctors in my family and when they hear you're pregnant, will ask you when you're flying out to have the baby because they have lost confidence in 70% of their own colleagues.

And that is a shame.

lwise:
Guy stop talking about what you don't know. The hospital is not well equipped, government is running the hospital like a public primary school. I know someone working there as a nurse. She always complain about government uncare attitude towards the hospital. She said at times for weeks there won't be disinfectant in the hospital to clean up the floor.
That's one of the reason why they are on strike for the past six weeks.

The most annoying thing is that Fashola just act as if he's less concerned.

Ask your nurse friend what happens to most of the stuff that the govt eventually gives to them? Half are hidden so they can be used privately. Both the govt n medical staff have a 50-50 share of the blame.

Onegai:
You have precisely 3 Neurosurgeons in Nigeria. In GH Lagos Island, doctors can't do PCR test (so when Ebola came, all Lagos doctors were scared, those that trained in Uniben even more so, because no-one had taught them how to do the test, even though Edo state has the most experience with Haemoraghic fevers).
Nurses from School of Nursing nowadays are taught a lot of Theory and little practicals. And most are not very good.
The machines at LUTH are so outdated, CT scan machine either caught on fire (last year) or they will take light. Same with Endoscopy at GH Lagos Island, no-one knows how to use the machine.
It isn't just equipment that is your problem in the Nigerian medical field. Most of you are badly trained (I have had doctors prescribe Cimetidine at a child's dosage, when I was in my 20s, I've had doctors declare I had Cerebral Malaria, when it is more common in children and young adults, I have had doctors treat me for all sorts, doubling anti-biotics without being able to write a clear referral, suspecting I had PID without a single test to rule it out etc). I have seen a doctor take out a clean appendix because the patient was constipated, I have seen doctors not accurately know that a patient with the right symptoms and age was having mini-strokes, they kept prescribing painkiller upon painkiller. I saw doctors who didn't know how to do examinations on the pelvis of a patient who had been treated a year ago for fibroids and was having pelvic pain be prescribed so much Diclofenac Sodium she OD'ed and they didn't know how to do charcoal activation to clear her bloodstream and could merely put her on drip, I have seen a patient die of a thyroid sugery that is a one-day affair in US on a Nigerian hospital, last week someone broke his arm and was taken to Igbobi, this week he died of an infection. I have seen asthma treated as malaria and they doctors treating the patient didn't know how to use the nebuliser the patient's parents brought. The patient's parents then had to donate 5 second-hand ones to the hospital, so that mistake never happened to another child.
You guys have to be trained properly. I'm speaking because I personally, off the top of my head, can count 2 Consultant Pediatricians, One Dermatologist, 1 consultant Gynaecologist, One Surgeon, 1 Neurosurgeon, I can't remember the last 2 what they studied and all of them either taught at LUTH or worked at UCH, Uniben, GH or another major teaching hospital.
None of them think half the doctors in Nigeria should be practicing, half of them think most of the teaching hospitals should lose their license to train certain fields of study (like Surgery in Medilag). All of them wonder why their colleagues don't further their education. Most of them don't trust their valuable patients to nurses (when one had a patient who needed to be monitored overnight for internal bleeding and his wound drained, he told doctors to do it and forbade nurses close to the patient).
I am sorry, but I really feel that firstly no doctors should be allowed to graduate, and massive enforced training for all doctors should be done for 5 years, overhaul all the medical schools, with upgraded equipment. Yearly testing of doctors should commence for another 5 years. We need a govt that should assume we have no doctors in Nigeria and place the country under a National Medical Emergency so we take drastic measures.
It is so bad that none of my family members will be allowed even in the smallest surgery in Nigeria, not even childbirth is an option in the nicest private hospital in Nigeria. I have doctors in my family and when they hear you're pregnant, will ask you when you're flying out to have the baby because they have lost confidence in 70% of their own colleagues.
And that is a shame.

Onegai:
I am sorry, but I really feel that firstly no doctors should be allowed to graduate, and massive enforced training for all doctors should be done for 5 years, overhaul all the medical schools, with upgraded equipment. Yearly testing of doctors should commence for another 5 years. We need a govt that should assume we have no doctors in Nigeria and place the country under a National Medical Emergency so we take drastic measures.


And that is a shame.

drjay1:
This is not true. It shows how "uneducated" some of our educated Nigerians are. There is no way a wound caused by a dog bite will not have infection even if it is being treated in the best hospitals in d world! Its called a dirty wound with an infectivity rate of greater than 45%. Such wound requires patience on the part of both the doctors and the patient's relatives to heal. I know that our health institutions are far from where we ought to be but we have the best of doctors and nurses in Nigeria. I dont work in LASUTH but i KNOW that the hospital has one of the best doctors and nurses in Africa. Now the INDIANs are smart! They are into medical tourism. They will do anything to "toast" Nigerians to travel to INDIA for treatment. They know that Nigerians dont believe in their health care system and will do anything to get "foreign" treatment so they will say anything to discredit our hospitals. I have seen many Nigerians run back home with several complications from treatments in india.

phineas:
You believe you're knowledgeable about the Nigerian health System, you are not.Not about the state of service delivery and definitely not about the personnel. To adequately criticize the system you have to be within or have been within the system.

1stly Nigeria has at more than 11 trained neurosurgeons working in Nigeria not 3, and more qualify every year after 7 years of intensive postgraduate training working round the clock literarily.A medic treating asthma as malaria are u kidding with all the obvious breathlessness wheezing and other tell tale signs? as well as the fact that the patient is a known asthmatic? tell me they misdiagnosed cystic fibrosis, or an ailment not commonly seen here, and I'll believe you write with no malice but asthma?

someone overdosed on Diclofenac and your first thought Sir/Ma in Nigeria was activated charcoal in Nigeria, really? Like what are your primary concerns, Gastric mucosal ulceration with bleeding, an acidosis and renal damage perhaps amongst others and to buttress the fact you have zero clue of the Nigerian health system, your first point of concern was finding activated charcoal? where have u ever seen activated charcoal in Nigeria, remember its taken this person a while to be discovered and to reach the hospital.

On their inability to do a PCR (hope you are aware most of the lab strengthening in Nigeria for PCR was done via foreign organization donations? they are meager like a few per state and definitely not within the jurisdiction of the Clinical Dr's in Nigeria, they are not doing PCR yet "the others" are shouting "stealing" of roles .

An appendix for constipation, we've established you're kidding right? and Lastly, Please tell me the gold standard for diagnosing a pelvic inflammatory disease and how many Nigerians consent to that with the risk of a negative result and we'll come back and discuss why you probably had just blood tests and Vaginal swabs with an abdominal scan before a diagnosis of pid was made.
My point your post was designed with malice to give a dog a bad name and you Sir/Ma are in no position to judge the system, you see you are not trained enough to cast that stone, you should find one corner and do your pity party with your other family members.

back to the topic

Dr Bashing, Naija's favorite past time.Is the practice here without flaws, no, but then I hope we are all aware one of the top leading causes of death in the US is medical error from prescriptions, yes Google that. No system is without its flaws and if you will criticize, please do it objectively and truthfully.

I"ll not bother typing out the problems in the Nigerian Health sector seeing its not the topic here but I'll discuss LASUTH. The personel (medics,nurses etc) patient ratio is alarming. The staff there are ill equipped and overworked, LASUTH almost never has bed spaces for new emergencies not willing to wait for this reasons, and that's all I'll say.

As for this case, they should sue the Apollo Hospital for such unguarded statements ,its not their first, its starting to be a habit.Its a calculated effort to win over naïve Nigerian patients,which if the referral letter truly carried the LASUTH Letterhead the relatives should be sued for fraud shikena. Yes its possible the wound was infected and they did not carry the relatives along on management and please what bite wound does not get infected, its a dirty wound for crying out loud on of the aims of management is to control and treat an infection on it, i can promise you there's no Nigerian nurse that will dress a wound five times a day in Nigeria's teaching hospital with the ratio of like 1 nurse to 20 patients sometimes. if you like write it as such the best you can hope for is to send your registrar's or house officers to dress twice daily, after "begging" the nurses to dress at least thrice daily. Add that to the fact that the hospitals where on strike forty percent of the time last year you start to get the true picture in a case like this

Nigeria has equally seen lots of mismanagement cases by Indian and foreign hospitals, you don't see anyone crying spilt milk on Indian hospitals/colleagues and for those who don't know its one of the codes of practice in medicine.Lots of cases diagnosed here were said to be wrong including cancers which turned out to be right, Dora comes to mind and I've seen other examples with CA that is.

Now For Nigerians: your medical teams nurses, Drs etc work round the clock with remunerations, settings and systems foreigners cannot imagine and definitely not produce results with you really should not pull them down but ask sincerely what are the problems, how can we help fix this. If we refuse to do that, the exceptionally good ones and the ok ones with any dignity left will leave, its happening already and its Nigerians that will reap the consequences with time.

phineas:
You believe you're knowledgeable about the Nigerian health System, you are not.Not about the state of service delivery and definitely not about the personnel. To adequately criticize the system you have to be within or have been within the system.

1stly Nigeria has at more than 11 trained neurosurgeons working in Nigeria not 3, and more qualify every year after 7 years of intensive postgraduate training working round the clock literarily.A medic treating asthma as malaria are u kidding with all the obvious breathlessness wheezing and other tell tale signs? as well as the fact that the patient is a known asthmatic? tell me they misdiagnosed cystic fibrosis, or an ailment not commonly seen here, and I'll believe you write with no malice but asthma?

someone overdosed on Diclofenac and your first thought Sir/Ma in Nigeria was activated charcoal in Nigeria, really? Like what are your primary concerns, Gastric mucosal ulceration with bleeding, an acidosis and renal damage perhaps amongst others and to buttress the fact you have zero clue of the Nigerian health system, your first point of concern was finding activated charcoal? where have u ever seen activated charcoal in Nigeria, remember its taken this person a while to be discovered and to reach the hospital.

On their inability to do a PCR (hope you are aware most of the lab strengthening in Nigeria for PCR was done via foreign organization donations? they are meager like a few per state and definitely not within the jurisdiction of the Clinical Dr's in Nigeria, they are not doing PCR yet "the others" are shouting "stealing" of roles .

An appendectomy for constipation, we've established you're kidding right? and Lastly, Please tell me the gold standard for diagnosing a pelvic inflammatory disease and how many Nigerians consent to that with the risk of a negative result and we'll come back and discuss why you probably had just blood tests and Vaginal swabs with an abdominal scan before a diagnosis of pid was made.
My point your post was designed with malice to give a dog a bad name and you Sir/Ma are in no position to judge the system, you see you are not trained enough to cast that stone, you should find one corner and do your pity party with your other family members.

back to the topic

Dr Bashing, Naija's favorite past time.Is the practice here without flaws, no, but then I hope we are all aware one of the top leading causes of death in the US is medical error from prescriptions, yes Google that, you see they discovered tired Doctors made life threatening errors(Yes even in the hallowed US) the systems response to that was to reduce the hours their doctors (residents) work to not more than 48-72 hours per week. No system you see is without its flaws and if you will criticize, please do it objectively and truthfully.

I"ll not bother typing out the problems in the Nigerian Health sector seeing its not the topic here but I'll discuss LASUTH. The personel (medics,nurses etc) patient ratio is alarming. The staff there are ill equipped and overworked, LASUTH almost never has bed spaces for new emergencies not willing to wait for this reasons, and that's all I'll say.

As for this case, they should consider suing the Apollo Hospital and other Indian hospitals involved in issuing such unguarded statements,its not the first,its starting to be a habit.Its a calculated effort to win over naïve Nigerian patients,which if the referral letter truly carried the LASUTH Letterhead the relatives should be sued for fraud shikena. Yes its possible the wound was infected and they did not carry the relatives along on management and please what bite wound does not get infected, its a dirty wound for crying out loud and one of the aims of management is to control and treat an infection in it, I can assure you there's no Nigerian nurse that will dress a wound five times a day in Nigeria's teaching hospital with the ratio of like 1 nurse to 20 patients sometimes. if you like write it as such the best you can hope for is to send your registrar's or house officers to dress twice daily, after "begging" the nurses to dress at least thrice daily. Add that to the fact that there is no accountability should the Nurse refuse to follow the orders or she dresses just once (which is why you send your interns)and the fact that Nigerian hospitals where on strike forty percent of the time last year you start to get the true picture in a case like this

Nigeria has equally seen lots of mismanagement cases by Indian and foreign hospitals, you don't see anyone crying spilt milk on Indian hospitals/colleagues and for those who don't know its one of the codes of practice in medicine.Lots of cases diagnosed here were said to be wrong including cancers which turned out to be right, Dora comes to mind and I've seen other examples with CA that is.

Now For Nigerians: your medical teams nurses, Drs etc work round the clock with remunerations, settings and systems foreigners cannot imagine and definitely not produce results with, they work unrealistic hours at the cost of personal health, family and work life balance.We really should not pull them down but ask sincerely what are the problems, how can we help fix this. If we refuse to do that, the exceptionally good ones and the ok ones with any dignity left will leave, its happening already and its Nigerians that will reap the consequences with time.

Onegai:
Dude I get that you're trying to protect your professional pride but all those doctors I mentioned are all people who used to teach at LUTH, UCH and co, some are still at GH. Are they lying? I'm pretty sure one of them has taught you (where did you do your residency, let's start from there). Please park very well.

The Diclofenac case, the doctors she met first didn't even ask her if she had ulcers, one of the doctors I mentioned had to come over and take over her case.

The Appendix for constipation happened in Surulere, the doctor had to lewere going to hit him with malpractise.

The Asmathic was on her first trip as a teenager to Nigeria, she went to Delta state and was brought in wheezing and complaining of shortness of breathe, they took her temperature and declared it malaria

How can you rule PID without a single pelvic exam and base your diagnosis on a urine analysis which showed Staph and nothing else? Which is what that slowpoke did and was mouthing off just like you, until I calmly made a phonecall and he was forced to explain to one of his former specialists s how he got that diagnosis. Not once did that slowpoke refer me to a Gyno.

Was it not at Unilag Medical centre I took a friend there (she had fallen into a gutter and was still cracking jokes, so I knew it couldn't be worse than a fracture) only for the doctor there to POP her and declare a broken bone. I carried her home and took her to a very high up doctor at Igbobi, who looked at us and went "but this is a hairline fracture"

I do not walk into any hospital in Nigeria without getting a 2nd opinion. If my immediate family members (who used to teach doctors) are not sure of their current crop of colleagues, I see no reason why I should say "all is well with Nigeria Medical Association"

innocent1:
Please with due respect, what ever you don't know please ask questions. Who told you, Omonigho is an Edo indigin? The boy is from delt state and that is why Gov. Of Delta state got involved.

MizEmpress:
one hardly ever gets efficient treatment from nigerian hospitals once a medical case gets beyond headache and common cold..its a pity

Onegai:
@phineas if you all are sooo wonderful, why is it that any serious doctor will tell you to go to Mecure (a lab run by Indians and staff with specialists) to do basic ultrasoundd? Why not Lagos Island, Massey, LUTH (where if they're not on strike, it's another kasala). Trauma care you guys are bad at, you're quoting your textbooks for me. Admit it that you are all in need to extensive training, stop defending the inexcusable. Nigerians are so prayerful because they have very little trust in their doctors.

Why not take a hard look at your profession and your colleague and ask "even if we had the equipment, will we stand shoulder to shoulder with our international colleagues?"

I do not rate young doctors in Nigeria very highly, the rot in the Education system affected you guys more than the older generation. You are not the only ones, it is the same issue I see with Engineers, Architects and other professionals. I am part of that group and I know my handicap and I don't blindly defend my colleagues because I am honest, even if I went online and read past my syllabus, I would still be unaware of things my international colleagues are aware of.

A nurse at LUTH said she wasn't aware pregnant women were meant to avoid Vit A (due to excess Retinol), that she has never heard that before. Another said (a while back) that a pregnant woman is not supposed to treat Malaria during pregnancy.

Let us be honest, the system needs an overhaul. I don't have to be a doctor to know this.

drjay1:
This is not true. It shows how "uneducated" some of our educated Nigerians are. There is no way a wound caused by a dog bite will not have infection even if it is being treated in the best hospitals in d world! Its called a dirty wound with an infectivity rate of greater than 45%. Such wound requires patience on the part of both the doctors and the patient's relatives to heal. I know that our health institutions are far from where we ought to be but we have the best of doctors and nurses in Nigeria. I dont work in LASUTH but i KNOW that the hospital has one of the best doctors and nurses in Africa. Now the INDIANs are smart! They are into medical tourism. They will do anything to "toast" Nigerians to travel to INDIA for treatment. They know that Nigerians dont believe in their health care system and will do anything to get "foreign" treatment so they will say anything to discredit our hospitals. I have seen many Nigerians run back home with several complications from treatments in india.